These mechanical waves have a frequency above 20kHz and are inaudible to the human ear. As these waves propagate through the tissues they cause thermal, mechanical and physico-chemical effects. They also have anti-inflammatory and analgesic components. The probe, along with an electrically activated membrane, transfers the mechanical waves to the tissues.

Phonophoresis (ultraphonophoresis) – this therapy involves delivery of molecules of a desired drug into tissues using ultrasound waves. Anti-inflammatory and analgesic gels are used. The combination of ultrasound waves with these specific gels results in an even greater clinical effect.

Indications for ultrasound physical therapy:

  • degenerative changes in limb joins and joints of the spine
  • arthritis and periarticular inflammation
  • post-traumatic diseases of the musculoskeletal system (fractures, dislocations, sprains, ligament injuries, muscle and joint capsule injuries)
  • neuralgia
  • myalgia
  • enthesopathy(calcaneal spur, “tennis/golfers elbow”)
  • scars
  • joint contractures
  • Dupuytren’s contracture

Contraindications for ultrasound physical therapy:

  • pregnancy
  • cancer
  • acute inflammation
  • advanced vascular calcification
  • thrombophlebitis, varicose veins, thrombosis
  • blood clotting disorders
  • skin changes, especially those with infectious etiology
  • cachexia
  • pacemaker
  • metallic implants at the site of procedure
  • menstruation (procedures in the lumbar and sacral spine)
  • loss of sensation